Kathryn Oakland

ORCID: 0000-0003-0280-1138
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About
Contact & Profiles
Research Areas
  • Gastrointestinal Bleeding Diagnosis and Treatment
  • Gastrointestinal disorders and treatments
  • Esophageal and GI Pathology
  • Cardiac, Anesthesia and Surgical Outcomes
  • Blood transfusion and management
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • Health Systems, Economic Evaluations, Quality of Life
  • Helicobacter pylori-related gastroenterology studies
  • Bariatric Surgery and Outcomes
  • Platelet Disorders and Treatments
  • Gastrointestinal Tumor Research and Treatment
  • Abdominal Trauma and Injuries
  • Liver Disease and Transplantation
  • Gastric Cancer Management and Outcomes
  • Gastroesophageal reflux and treatments
  • Antiplatelet Therapy and Cardiovascular Diseases
  • Biliary and Gastrointestinal Fistulas
  • Colorectal Cancer Screening and Detection
  • Frailty in Older Adults
  • Cardiac Imaging and Diagnostics
  • Aortic aneurysm repair treatments
  • Advanced Radiotherapy Techniques
  • Abdominal vascular conditions and treatments
  • Diverticular Disease and Complications
  • Esophageal Cancer Research and Treatment

Informa Healthcare
2018-2024

Imperial College London
2017-2020

University College London
2020

NHS Blood and Transplant
2016-2019

Western University
2019

The Princess Grace Hospital
2019

Oxford University Hospitals NHS Trust
2016-2018

National Health Service
2017

Cambridge University Hospitals NHS Foundation Trust
2016

Queen Mary University of London
2016

This is the first UK national guideline to concentrate on acute lower gastrointestinal bleeding (LGIB) and has been commissioned by Clinical Services Standards Committee of British Society Gastroenterology (BSG). The Guidelines Development Group consisted representatives from BSG Endoscopy Committee, Association Coloproctology Great Britain Ireland, Interventional Radiology, Royal College Radiologists, NHS Blood Transplant a patient representative. A systematic search literature was...

10.1136/gutjnl-2018-317807 article EN cc-by-nc Gut 2019-02-12

<h3>Objective</h3> Lower GI bleeding (LGIB) is a common reason for emergency hospital admission, although there paucity of data on presentations, interventions and outcomes. In this nationwide UK audit, we describe patient characteristics, including endoscopy, radiology surgery as well clinical <h3>Design</h3> Multicentre audit adults presenting with LGIB to hospitals over 2 months in 2015. Consecutive cases were prospectively enrolled by teams followed 28 days. <h3>Results</h3> Data 2528...

10.1136/gutjnl-2016-313428 article EN Gut 2017-02-01

Main Recommendations 1 ESGE recommends that the initial assessment of patients presenting with acute lower gastrointestinal bleeding should include: a history co-morbidities and medications promote bleeding; hemodynamic parameters; physical examination (including digital rectal examination); laboratory markers. A risk score can be used to aid, but not replace, clinician judgment. Strong recommendation, low quality evidence. 2 that, in self-limited bleed no adverse clinical features, an...

10.1055/a-1496-8969 article EN Endoscopy 2021-06-01

Existing scores are not accurate at predicting mortality in upper (UGIB) and lower (LGIB) gastrointestinal bleeding. We aimed to develop validate a new pre-endoscopy score for both UGIB LGIB.International cohort study. Patients presenting hospital with six international centres were used risk using regression analyses. The score's performance LGIB was externally validated compared existing four datasets. calculated areas under receiver operating characteristics curves (AUROCs),...

10.1136/gutjnl-2019-320002 article EN Gut 2020-07-28

<h3>Importance</h3> Lower gastrointestinal bleeding (LGIB), which manifests as blood in the colon or anorectum, is a common reason for hospitalization. In most patients, LGIB stops spontaneously with no in-hospital intervention. A risk score that could identify patients at low of experiencing adverse outcomes help improve triage process and allow greater numbers to receive outpatient management LGIB. <h3>Objective</h3> To externally validate Oakland Score, was previously developed using...

10.1001/jamanetworkopen.2020.9630 article EN cc-by-nc-nd JAMA Network Open 2020-07-07

Restrictive red blood cell (RBC) transfusion reduces mortality and rebleeding after upper gastrointestinal bleeding (UGIB). However, there is no evidence to guide strategies in lower (LGIB).To assess the association between RBC outcomes patients with LGIB METHODS: This was a post hoc analysis of UK National Comparative Audit Use Blood. The relationships liberal clinical rebleeding, composite outcome for safe discharge were examined. Transfusion strategy dichotomised defined as "liberal" when...

10.1111/apt.15158 article EN Alimentary Pharmacology & Therapeutics 2019-02-25

Abstract Background Assessing the risk of post-surgical mortality is a key component pre-surgical planning. The Surgical Outcome Risk Tool (SORT) uses pre-operative variables to predict 30-day mortality. aim this study was externally validate SORT in patients undergoing major abdominal surgery. Methods Data were collected from treated five independent hospitals UK. Individualised scores calculated, and area under receiver operating characteristic (AUROC) precision-recall curves (PRC) plus...

10.1186/s13741-020-00173-1 article EN cc-by Perioperative Medicine 2021-01-26

Aims With the evolving landscape of acute upper GI bleeding (AUGIB) management, a comprehensive understanding changing clinical outcomes becomes imperative. This report presents findings from 2022 UK-wide multi-centre AUGIB audit, drawing comparisons to previous 2007 study. [1]

10.1055/s-0044-1783059 article EN Endoscopy 2024-04-01

Introduction Trainees report inadequate exposure and training barriers in acute upper gastrointestinal bleed (AUGIB) endoscopic management. This UK-wide survey evaluated the experiences of trainees trainers AUGIB endoscopy training. Methods A questionnaire was distributed to UK GI 2022–2023. Results We received responses from 137 (23%) 115 (76%). reported higher diagnostic oesophagogastroduodenoscopies (OGDs) than (median 300, IQR 203–441 vs 15, 2.5–35.5 lifetime procedures), with variations...

10.1136/flgastro-2024-102818 article EN cc-by Frontline Gastroenterology 2024-11-23

Equestrian sports are common outdoor activities that may carry a risk of liver injury. Due to the relative infrequency equestrian accidents injury patterns and outcomes associated with trauma in these patients have not been well characterized.We examined our experience management regional hepatopancreaticobiliary unit at tertiary referral center. The medical records who sustained secondary were analysed for parameters such as demographic data, function tests, injury, radiological findings,...

10.1186/1752-2897-8-13 article EN cc-by Journal of Trauma Management & Outcomes 2014-08-21
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